Individual
DR. KEITH G. RYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
3319 E 46TH ST, TULSA, OK 74135-2903
(918) 742-6262
(918) 742-7152
Mailing address
3319 E 46TH ST, TULSA, OK 74135-2903
(918) 742-6262
(918) 742-7152
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2681
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
731533000
UNITEDHEALTHCARE
—
Enumeration date
07/18/2005
Last updated
04/26/2011
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